The Ultimate Detox Challenge Day 1

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Hey, guys. Welcome to day one of the ultimate detox challenge. You guys sucked me out of the mountains of Colorado. You even made me shave my beard to come back to Miami for three days to host this challenge, guys. This challenge. Of all the challenges that I've done, I know a lot of you guys logging in from all over the world. I see people from Auckland, New Zealand. I see people from London, I see people from Paris. I see people from Austin, Texas, from all over the world. Thank you guys for trusting me. Over the next three days to guide you through this detox challenge, the team and I literally spent months building the ultimate detox guide, which all of you should have gotten a free copy of. And we spent months really working on this challenge to get it into bite sized formats so that we could really begin this detox journey together. I was actually going to start the challenge with my big fluffy Colorado beard, but my daughter threatened to disown me. She said that half of you guys would have logged off with my big white, bushy beard. So I shaved it and I'm ready to get started. I'm your host, human biologist Gary Brackett. And if there's one thing that I've learned from analyzing the blood work of literally tens of thousands of people, you know, my wife and I co founded a functional medicine clinic about 10 years ago in a little strip mall in Naples, Florida. It blew up to be one of the largest functional medicine clinics in the world. And we learned a lot from doing COVID testing and treating patients with COVID We learned a lot from blood work, biomarkers and genetic testing, supplementation, even using peptides to help people on their wellness journey. But there was always a segment of these several hundred thousand patients that had come through our clinic system that had relatively normal labs, but they still reported symptoms of weight gain, water retention, brain fog, really poor sleep, poor focus and concentration, strange pain patterns, fatigue, short term memory issues. And we really had a difficult time putting a finger on it. And what I've learned from analyzing the blood work of tens of thousands of these people is that people don't have a shortage of motivation to get better. They have a surplus of information. They just get paralysis of analysis. And you start putting detox into the Google search engine and watch what happens. You'll find every juice cleanse, every colon cleanse, every short term product or service that's meant to really get toxins out of your body. A lot of these make you a lot more sick than you started. So you've probably been told if you're one of those people that falls into that category that everything looks normal on your labs, but deep down, you kind of know that something's not right. Your energy's off, your digestion is a mess, you've got brain fog, you've got chronic pain, you have sleep issues you can't put a finger on, maybe even anxiety or depression. And yes, these things that you cannot explain. And very often, in fact, the majority of time, they are linked to toxicity in the body. There's some really interesting studies that I've been publicizing lately on autoimmune disease. Crohn's, Hashimoto's, multiple sclerosis, actually looking at parasitic and pathogenic invaders as the genesis of a lot of these diseases. So over the next three days, you're going to find that I tend to believe a lot more in what God gave us and less in what man made us. And so a lot of what we're going to talk about over the next three days is about really getting back to the basics. How do we. How do we pull these things out of our tissues and get them into the organ systems that can detoxify them, and then how do we get them from those organ systems out. Out of the body? So this challenge is not about a trendy detox. You'll notice I don't have a detox package or a juice cleanse or a liver cleanse or colon cleanse. It's not about trendy detoxes. It's not about green juice. It's not about starving yourself. It's about identifying the underlying stressors in your biology. How do we know if it's mold, mycotoxins, heavy metals, parasites, or viruses, and then helping your body finally eliminate them. You know, every single one of you has detoxification pathways and a genetic predisposition to have healthy pathways or broken pathways. And you can fall kind of into three categories where your methylation is working properly and you can actually get rid of heavy metals, you can clear viruses, you can clear things like the spike protein. Maybe you were vaccinated and have no side effects at all, and maybe you are vaccinated and you've had long Covid symptoms ever since. Why would two people get the same inoculation and have completely different outcomes? We're going to talk about that. We're going to talk about what happens in the body when we have to detox anything from spike protein to parasites to heavy metals to mold spores to mycotoxins and even to viruses. So for the next three days, I'm going to walk you step by step through what might be making you sick, how to test for it and what to do every single day to get better, naturally, predictably, and then permanently. So if you're watching this on YouTube. Welcome guys. On YouTube. There's thousands of you on YouTube. Thank you so much for joining us. You're going to get incredible value here. But I want you to know about something up front that's very special that we created for people who actually want to grow deeper on this journey. It's our VIP members where you're going to get access to exclusive content. We're going to do 90 minute Q&As with me in a live format every day for the next three days. You'll get those every single month. You'll get private podcasts, you'll get a complete ultimate detox guide, which is a 50 page blueprint with very specific protocols and supplement recommendations which unfortunately I cannot talk about live on this zoom. But don't worry, even if you're not a vip, you're going to get a lot out of this detox challenge. The intention is to not be upselling you products and services. I just want you to know about the VIP group because that is where I pour myself into, in a very open, transparent dialogue where we can actually meet sort of, you know, one on one, in a, in a, in a group setting and really take a deep dive into your questions. Plus, next week all the VIPs are getting a 12 week metal cleanse guide and an 8 week mold guide that I spent several minutes, several months writing. So that's going to be free to the VIPs. I also built a course. It's a 10 month course which I was going to just go out and sell to the public for a couple of thousand dollars. I'm giving it away to the VIPs. It's on becoming the ultimate human version of yourself. It's not about detox. It's about sleep routines, morning routines, whole food, dieting, travel tips, all of the things that we need to become the ultimate human version of yourself. And the most exciting thing is I'm doing a lot of giveaways in there. So I'm giving away VIP boxes. They're worth over 500 bucks every single day. I'm giving three away today so three lucky members will win packages. It includes everything. Body Health's metal and chemical cleanse, rogue glutathione, Baja Gold, sea salt grinders, all, all the flavors of H2 tablets and premium magnesium products. I'm going to give to you from bio optimizers. So the link to upgrade to VIP is in the description. But whether or not you're a vip, what we're covering today could change everything for you. So let's dive in. Let's just start with the basics, guys. When we talk about detox, what are we really talking about? Most people think that we're talking about eliminating things from the body, but what we really want to do is actually take a step back and we want to talk about how do we take metals, mold, spores, mycotoxins, parasites, potentially even viruses, microplastics that are circulating not just around in our bloodstream, but are embedded in our tissues. You know, if you were to look up autoimmune disease as a category, I know so many of you either have or know somebody who suffers from an autoimmune disease. And let's just pick a couple of them. Crohn's disease or Hashimoto's, where your immune system is attacking your thyroid. Or Chagrins, where it's attacking the lacrimal gland in your eye. Or multiple sclerosis, where the immune system is actually attacking the myelin sheath of your nerves. And what you're told is that you woke up one day and your immune system went haywire and it just turned on your body and it began to attack itself. If it attacks the colonial, you're told you have Crohn's disease. If it attacks the thyroid, you're told you have Hashimoto's. If it attacks the lacrimal gland in your eyes, you're told you have chagrins. Unfortunately, if it attacks the myelin sheath, you're told that you have multiple sclerosis. And if you took it a step further and asked your physician, what caused my immune system to just suddenly turn on healthy tissue, you'll see that the category of autoimmune disease, 85% of all autoimmune disease is idiopathic. It's of unknown origin. So they say it just happened spontaneous, or you're spontaneously or your immune system just got run down and now you have this condition. But don't worry, you have a permanent lifetime subscription to medication. You're going to be on methotrexate, you're going to be on immunosuppressants, you're going to be on thyroid supplements or thyroid medication. Levothyroxine Synthroid. You're going to be on Armour Thyroid for the rest of your life. And we'll just manage these symptoms. But if 85% of the time, we don't know what's causing it. What if we took the position that the immune system is acting properly? We just need to find out why it's there. And what we discovered over the last 10 years, treating thousands and thousands of patients, are that people are suffering from these genetic tests. You know, that you don't feel well. You know, that you feel off. And your doctor is telling you oxification. I'm break it down really simply what we want to do. Can I go to the whiteboard? Okay, and first of all, guys, just please remember that I'm a scientist and not an artist. So don't judge the detox challenge by my artwork. Judge it by the information. So when we look in human beings, okay, and this is. I'm not saying that any of you sort of looks like an alien. All right, there you are. So when we talk about detoxification, most of the time we're thinking about how do we get toxins out of the body. But the first thing we have to do is get toxins from the tissues, from the bone, toxicity from our organ systems into a place, into a trash can, so we can bag it and get rid of it. So where do the toxins go before they're eliminated from the body? And we need to talk about these. We have the lymph. We have the key online that you can get a liver detox, right? Or you can get a kidney detox, or you can get a colon cleanse. And the challenge with targeting just one of these organs and trying to use that single organ to detoxify your body is that very often what these organ systems do, the liver, for example, is they detoxify in two phases. So if I were to just take the liver for a moment, we have something called phase one, and we have something called phase two. Detox. The difference between a cleanse and a detox is dramatic, because what happens in your liver and this happens in other organ systems in the body, is that in the first phase of detoxification, toxins will come into the liver. These could be molded. They could be mycotoxins. They could be inflammatory cytokines. They could be all kinds of metals. They can be microplastics, they could be allergens, all kinds of toxins from the bloodstream that are filtering through the liver. And during phase one, these toxins are converted into the liver into compounds that the liver prepares to get rid of. Now, if you know anything about human physiology, the liver will discharge into the gallbladder, something called bile. Bile will then Be secreted into the colon, into the small intestine, an area called the duodenum. It will enter the stool and it will exit your body. So phase one is the capture of toxins, phase two is the conversion of toxins to eliminate them. You cannot, I cannot overemphasize how critical this is. When you do a detox, typical detox, juice cleanses liver detox. What it causes is it causes the phase one detoxification system in the liver to discharge everything back into the blood, back into the colon, back into your bloodstream. And very often you get really sick. So if you're one of those people that's actually tried a liver detox or tried one of those short term, three day, four day detoxes, and you got really sick and they tried to convince you that that was a good thing because those were the toxins leaving your body. That's not true. Those are the toxins going back into your body. And so what we're going to do first is we're going to talk about how do we prepare these systems, the lungs, the liver, the lymph nodes, the kidneys, the colon and the skin. How do we prepare them to capture these toxins? And then once we prepare them to capture them, how do we prepare them to get rid of them? This is why certain supplementation like binders and things are going to work. We're going to use very traditional methods like foods that are low in mold and mycotoxins. We're going to use things like sauna. We're going to improve the digestion, we're going to get your bowels going normally. Nobody wants to talk about pooping. We're going to talk a lot about pooping on this three day detox. In fact, in a few minutes, I'm bringing one of the top gastroenterologists in the world, Dr. Buskowitz. They call him Dr. B. If you're interested in colon and your microbiome and the health of your colon and microbiome, please watch the podcast that I did with him. He's gonna come on for 45 minutes and talk first about how do we get our bowels properly moving. So the important thing that I want to talk about are not just are there toxins in our body? Cause every single one of us has toxins in our body. How do we get those toxins into organ systems like the liver? And how do we improve phase one detox, which is the capture of those toxins, and then do how do we improve phase two detox, which is the Elimination of those toxins. And there are certain supplements and certain things that we do at each stage to improve how these systems operate. For example, phase one liver detox requires substantial amounts of minerals. And so many of us are mineral deficient. You don't have to use the mineral salts that I'm going to recommend, something like a Baja Gold, but you need to be taking a mineral salt every day, first thing in the morning, hydrating and mineralizing the body. We also need to talk about the process of methylation. What are the different compounds that the liver uses during phase one detox? Well, it uses a voluminous amount of the complex of B vitamins. Pyridoxine, riboflavin, thiamine, niacin, and pantothenic acid. It's incredible how many people have toxic buildup in their body because they are mineral, vitamin, amino or amino acid, or nutrient deficient. So one of the first things we're going to talk about is what specific vitamins, minerals, and amino acids help phase one detoxification? Because what your liver is going to do is it's going to capture toxins, it's going to convert them into something called inertia carbons, and it's going to discharge those through the gallbladder into the stool. Similar thing happens in your kidneys. Your kidneys are the great methylator of the body. If you've ever known or ever had the misfortune of having a kidney stone, very often people think those kidney stones are calcium. They're not calcium, they're minerals. So we're going to talk about each one of these organ systems and how we prepare it for detoxification. And I want to start with the big one, which is the colon. And so I want you guys to welcome Dr. Will be. He's joining the Zoom. He's a gastroenterologist. He has left his profession as a. As a GI physician and is on a mission to help people poop better. So for those of you that have sluggish bowels or irritable bowels or anything going on in your digestive tract, this is the part of the detox challenge you're going to want to pay attention to. So now I'm going to. I'm going to bring him on. It's somebody I deeply respect. We call him doctor Will Be because his last name is Buskowitz. If you've ever been dismissed by a doctor or told that it's all in your head or prescribed a pill without any answers, Will is the kind of doctor that we really need more of. He's going to walk us through some of the most overlooked causes of the chronic symptoms you're suffering from, how detox pathways get blocked, and how to finally uncover the truth behind some of these health issues. So, guys, please welcome. Doctor Will be. Let's get fired up. There he is. All right. Can you hear me?

I can hear you. Can you hear me?

Okay, I can hear you, too.

All right. I'm pumped. It's good to see you.

It's great to see you, too. Dr. B. Thank you for coming on and sharing all your wisdom. I mean, we know that colon health is optimal health, and I wanted to pick a place to start on the detox challenge. So, obviously, all we're starting with the importance of having a healthy digestive system, which really starts at the back of our throat and goes all the way out the back door. So I want to get right to the point. You know, lots of VIPs and folks that are on the challenge, prior to the challenge, submitted questions. So I have a few questions for you before we actually take questions from our live YouTube audience. Guys, if you're watching on YouTube, please start submitting your questions for Dr. B. And my team's going to collect those, and we'll take the most commonly asked questions, and I'll make sure that we feed them. The doctor will be during this live simulcast. So, first of all, I know that you are a huge proponent of pooping. You call it the glorious, epic dumps. But why is going to the bathroom so regularly one of the most powerful detox strategies we have? And how exactly does this support our body's capacity to detoxify?

You know, Gary, you just showed us on the whiteboard, right, which is that if we take a step back and we think about how do we eliminate toxins from our body, there's only so many routes that this can go. We can poop it out, we can pee it out, we can sweat it out. We could breathe it out, although that's not a really big part of this. And in theory, you could spit a lot, you could cry a lot. But, like, really among those choices, the science overtly clearly says it's pooping that is the dominant factor in terms of how we rid our body of these toxins. And it's for the reason that you that you just pointed out, which is that if I were to turn to this wonderful audience and say, like, what is the dominant detox organ in the body? I'm quite sure you would say the liver, and that would be true.

Yes, and very much. That's why we started there.

Exactly. And then the liver is going to excrete it through the bile, and for it to leave your body, it goes through a bowel movement. And research shows that, for example, glyphosate, 80% excreted in our stool. Microplastics, 90% excreted in our stool. Heavy metals, dominantly excreted in our stool. So these are the topics that you're going to be talking about during these three days. And what I'm saying to you is everyone needs to perk up right now because epic, glorious dumps is a way in which you detoxify. And by the way, they're also satisfying and great for you.

I love epic, glorious dumps. So what are your top practical tips for someone who struggles with constipation or irregular bowel movements? And how do these processes kind of help the body detoxify? Detoxify naturally.

Okay, so I would imagine that people who know me are expecting me to first say fiber. So I'm going to make this harder for me. I'm going to talk about other stuff.

Okay.

Which is hydration. Hydration activates your gut. Hydration stimulates bowel movements. Hydration activates your kidneys. Your. You urinate. So when I say 80% of glyphosate comes out in your stool, the other 20% is in your urine. And if you hydrate. If you hydrate, you're activating both. All right, number two, exercise. Exercise is obviously good for our cardiovascular fitness, for muscle mass. Gary, you're looking pretty fit and healthy these days. But it's also good for our gut. It helps our gut microbes. They love exercise. It stimulates gut motility. Motility. All right, number two, exercise. Exercise is obviously good for. For our cardiovascular fitness, for muscle mass. Gary, you're looking pretty fit and healthy these days, but it's also good for our gut. It helps our gut microbes. They love exercise. It stimulates gut motility. Motility is the way in which we allow ourselves to have a good, healthy bowel movement. And so when we. So when we exercise, we're actually supporting these systems. And then the third thing I'm going to say is magnesium. So my experience, that was not to.

Interrupt you, but that was the single greatest deficiency across all of the metabolic testing and cellular nutrient assays that we did over 10 years was, first was magnesium, and the second was vitamin D3. Just as an aside, about 85% of even our healthiest patients were clinically deficient in magnesium.

Is the way in which we allow ourselves to have a good, healthy bowel movement. And so when we. So when we exercise, we're actually supporting these systems. And then the third thing I'm going to say is magnesium. So I. My experience that.

That was not to interrupt you, but that was the single greatest deficiency across.

Okay, so just to corroborate that. So that's. That's you speaking on population data, and I'm speaking from my experience with tens of thousands of patients in the clinic, which is that there are so many people out there who don't realize that they're deficient in magnesium. You might be eating a healthy diet. And we have depleted our soil to the point that we've. We keep sucking up and we're monocropping. We keep sucking up the nutrients, and now we can't get enough magnesium even with a healthy diet. And deficiency is everywhere. Magnesium as a supplement, it stimulates bowel motility. It's actually my favorite way to address constipation is with magnesium supplements, but it also is active in terms of detoxification pathways in the liver. Your liver actually requires this for enzymatic activity during those phase one detox pathways that you're talking about, Gary.

So what are, like, the nutritional lifestyle factors that people tend to overlook that directly enhance detoxification or can directly improve, like, healthy bowels? Because I. I know there's a lot of people on this zoom right now that are not going regularly. You know, I always say if you wake up and you haven't had a bowel movement in the first 45 minutes of the day, you're already starting behind. If you haven't had a second one by the end of the day, that's all of the metabolic testing and cellular nutrient assays that we did over 10 years. First was magnesium, and the second was vitamin D3. Just as an aside, about 85% of even our healthiest patients were clinically deficient in magnesium.

Okay, so just to corroborate that. So that's you speaking on population data.

That's a sign that your colon is already sluggish. And so before we even talk about detoxification, we. We have to talk about healthy liver, healthy lymph, healthy kidneys, healthy respiratory patterns. So what are people overlooking that directly is impacting their capacity to detox? And what can they do to get their bowels moving if it's not something that they're doing right now?

Yeah, so first of all, what you said about the waking up and having a bowel movement within 45 minutes. That's a marker of circadian disruption. If that's not happening, your bowels should be on a circadian rhythm. And if they're not, it's proof that your circadian is out of alignment. And we'll talk more about that.

Okay.

Some of the things. So, you know, first of all, if we support our gut microbiome, we are activating the gut microbiome. And I'm speaking from my experience with tens of thousands of patients in a clinic, which is that there are so many people out there who don't realize that they're deficient in magnesium. You might be eating a healthy diet. And we have depleted our soil to the point that we've. We keep sucking up and we're mono cropping, we keep sucking up the nutrients and now we can detoxification pathways, which, if I were to go back to your whiteboard, I would add that to the whiteboard. Your microbiome actually is coming into contact with many of the things. For example, the drugs, the pharmaceuticals that you take are modified by your microbes. Why do some people get an amazing effect from drugs and some people get a horrible adverse effect? Part of this is the way in which our body, our microbiome, interacts with them. So we want to support these microbes, and the ways that we can do that are with fiber. 95% of America is deficient in this with.95. Yeah, 95% with healthy fat. So, like I'm looking to have people elevate, like, get rid of the junk fats and improve it with high quality fats with fermented food. And, you know, it's no coincidence that you consume fermented food like some people. I'm sure there's people who are here today on the call. They'll, they'll acknowledge this, that they have yogurt for breakfast and they have a great bowel movement. That's not a coincidence, right?

Yeah. That's why I incorporate sauerkraut, kimchi.

Can't get enough magnesium even with a healthy diet. And deficiencies everywhere.

You know, pickled and fermented vegetables all of the time into my diet.

In fact, magnesium as a supplement, it stimulates bowel motility. It's actually my favorite way to address constipation is with magnesium supplements.

Okay.

But it also is active in terms of detoxification pathways in the liver. Your liver.

I rarely ever eat meat without also eating fermented veggies and, you know, fermented vegetables like sauerkraut or kimchi. These are really Inexpensive to get in the supermarket. They're widely available, and they have the soluble and the insoluble fiber. And remember, the insoluble fiber sort of creates that bulk that moves through your intestinal tract and kind of brushes it out. But the soluble fiber becomes something called free fatty acids. And so converting that soluble fiber into free fatty acids is excellent for your brain, it's excellent for your immune system, it's excellent for your organ function. So these are simple things. Fermented veggies. I know a lot of you don't like the taste of sauerkraut. Maybe you don't like the taste of kimchi. These are super inexpensive to get at your grocery store, your health food store. And you can incorporate them with other dishes. When you mix them with meats or fish or chicken, it actually, the blended taste makes it a lot more palpable. Same way I feel about organ meat.

Actually requires this for enzymatic activity during those phase one detox pathways that you're talking about, Gary.

Mm. So what are, like the nutritional lifestyle factors that people tend to overlook that directly enhance detoxification or can directly improve, like, healthy bouts? I have a hard time just eating liver. You know, Paul Saladino comes and stays with me all the time, and he makes me, like, take slices of raw liver and, and, and eat them, and I get the health benefits of that. But it's like literally swallowing your tailpipe. It has such a metallic taste. So I blend those organ meats in with regular ground beef in it, and they taste amazing. But I didn't mean to cut you off.

No, no, no, not at all. That was a great point. And to that point, I mean, many people, I'm sure, would acknowledge that when they pair wine with their food, it tastes better and it brings out aspects of it. It also helps to cut the fat so that you cut the richness. And that's. That's because it's a fermented food. The grape juice wouldn't do that. So. And fermentation is transformation. So you mentioned that this can lead to short chain fatty acids, the butyrate, acetate and propionate. But it's also that through fermentation, we are creating live microbes. We are changing the fiber. We create what are called exopolysaccharides. We're changing actually the peptides and the, and the, the protein. We're actually making it more bioavailable and we're reducing the toxic burden. So actually, fermentation in itself is actually.

Proof, because I know there's a lot of people on this zoom right now that are not going regularly. I always say if you wake up and you haven't had a bowel move in the first 45 minutes of the day, you're already starting behind. If you haven't had a second one by the end of the day, that's a sign that your colon is already sluggish. And so before we even talk about deep.

The capacity for microbes to detox. Because if you take food that has, for example, a high glyphosate burden and you ferment it, you will actually drop the glyphosate burden. That's one of the interesting things.

That's amazing. So along these lines, I mean, you always talk about consistency promoting detoxification. So how does consistency do that? And I know you're also a big proponent, it sounds like for different reasons, but a big proponent of personal strategies like incorporating optimal morning sun exposure and even in darkness into your daily life. Because you and I both believe in the circadian cycle. What's really interesting is I got. I'll show you guys this. You know, I track all my sleep every night on whoop. And so last night when I look at my sleep score, I got an 80. I don't know if you can see that I got an 87%, which is actually not. Oh, sorry, not good for me. I got an 87% sleep score, but when I dug into it, my Recovery was still 97%. But when I dug into why I only got an 80 detoxification, we have to talk about healthy liver, healthy lymph, healthy kidneys, healthy respiratory patterns. So what are people overlooking that directly is impacting their capacity to detox? And what can they do to get their bowels moving? 7% sleep score it was because whoop gives me very high marks for being consistent. So I just came from Colorado and I go to bed at 10 o', clock, like clockwork every night. So what I thought I would do when I got here was go to bed at midnight to keep that time consistent, because it's 10pm in Colorado. And then Whoop whacked me for that two hours and said, hey, you're not being consistent with your sleep schedule. But what I will tell you is of all of the things I do to improve my sleep score, the one that works the most is by going to bed at the same time every single night. And so in Colorado, I'm getting 98, 99, 100% sleep scores. Then I came here, slept the same amount of time Got the same amount of DEEP and rem, but because my timing was off, it dropped that score. So, you know, part of this evolution of understanding how we get toxins out of the body is. Is actually putting the body in a place where it actually wants to eliminate toxins, meaning where it actually has the time and resources to commit to eliminating a toxic burden. You will not eliminate waste, repair, detoxify, or regenerate if you are nutrient deficient, if you are dehydrated, if it's not something that they're doing right now.

Yeah. So, first of all, what you said about the waking up and having a bowel movement within 45, if your waste.

Elimination pathways are not open, you're not getting consistent sleep and you're not moving, there's no mechanism for us to get around any of those things. So I'd love it if.

That'S a marker of circadian disruption. If that's not happening, your bowels should be on a circadian rhythm.

Do you talk about your personal strategies or tips for incorporating optimal sunlight, what your morning routine looks like?

Yeah, definitely. So we're obviously talking about circadian rhythm. And the body is designed with its own natural rhythm. Every single one of the organs that you just mentioned, the liver, the kidneys, the lungs, has its own clock, its own internal clock. And our job is to teach the body to stay aligned and synchronized. And the way that we do this is with consistency. And this is a completely free idea that, like, literally, if you changed nothing in your life other than did everything at the same time every single day, you would be way more healthy.

Yeah, I agree with that.

So in terms of my routines, in the morning, I like to wake up and I get my morning sunlight. And part of this is that that morning sunlight, it actually. It actually allows my body to anchor the morning circadian rhythm. It activates my gut, it turns on my brain, it floods my. And if they're not, it's proof that your circadian is out of alignment. And we'll talk more about that.

Okay.

Some of the things. So, you know, first of all, if we support our gut microbiome, we are activating the gut microbiome body with serotonin. Serotonin is the happy hormone, but serotonin is also key for motility. So if you want to have that good morning bowel movement, you need the serotonin to help to get your detoxification pathways, which, if I were to go back to your whiteboard, I would add that to the whiteboard into a rhythm. So I like to get my morning sunlight, hydrate, have a cup of coffee, and I like to do a walk outside. And that sort of light exercise contributes to all these things. So, like, to me, it's like multitasking. Like, I'll usually wake up, hydrate, take my morning supplements, and then I go outside for a walk, usually with one of my kids in a stroller, and I'll wear a ruck vest, I'll have my cup of coffee, no glasses, getting my sunlight exposure, and I try to spend about 20 or 30 minutes outside doing that.

That's awesome. All right, I'm going to move over to some YouTube questions. So the team's been consolidating these. Kenny R. Says, what if you no longer have a gallbladder?

Yeah. So if you no longer have a gallbladder, the detoxification pathway is the same. So I want to comment on this. Your liver will still produce bile. The difference, your microbiome actually is coming into contact with many of the things. For example, the drugs, the pharmaceuticals that you take are modified by your microbes. Why do some people get an amazing effect from drugs and some people get a horrible, horrible adverse effect? Is that the gallbladder is basically like. Think of it like the old fashioned deer skin canteen. Like, it's like a sack and it holds the bile and it squeezes after a meal, especially if you eat a lot of fat. If you don't have a gallbladder, you're just going to basically trickle that bile down into your intestines. For some people, that will actually part of this is the way in which our body, our microbiome, interacts with them. So we want to support those diarrhea. So be aware of that. But the concepts that we're discussing here remain the same, which is that it's still bile coming from your liver that you need to ultimately excrete through a bowel movement.

Okay. Yeah. Robert asked the same question. I have no gallbladder anymore. It was taken out two years ago. What happens to my toxins? And I think you just explained that the bile, which is bile, is not made by the gallbladder. It's stored in the gallbladder. So it's discharged by the liver into the gallbladder, and. And then it pauses there. And it's secreted in response to fat passing. Passing by the gallbladder in an area called the duodenum. And so this is still going to leak into your gut. So Amy Allen says bloating, it's the only symptom I have with SIBO. Nothing else has helped. And I've been bloated 24 hours a day and I only weigh 106 pounds. What can be done to get rid of it? It's the only symptom. She says the only symptom I have with sibo, which is small intestinal bacterial overgrowth. Guys, this is a big one. I would love to hear your, your.

Thoughts on these microbes. And the ways that we can do that are with fiber. 95% of America is deficient in this.

With 95.

Yeah, 95% with healthy fat. So, like, I'm looking to have people elevate on sibo.

And she says nothing's helped. She's bloated 24 hours a day and she only weighs 106 pounds.

Yeah. So I think where I would start is that with these types of things, I start by separating out into, is this someone who's more on the scale of diarrhea or more on the scale of constipation? Now, there are people who are constipated and they poop every single day, but they're not completely evacuating. And if you're not completely evacuating, then you are backing up. And when you back up, the number one symptom by far is bloating. 100% of people with constipation have bloating. And the way in which I like, get rid of the junk fats and improve it with high quality fats with, as a gastroenterologist to know that I have appropriately and adequately treated them is the bloating goes away. So with this, what I would pay attention, Pay attention to for her is does the bloating improve after a bowel movement? That's one of the questions that I would ask you. If it does, then we have proof of concept that actually by defecating, by having a good, healthy, epic bowel movement, you are actually improving this particular symptom. It might come back a couple hours later. This is your body telling you need to poop more.

Okay, so how do you get it if you have sibo? I mean, how do you address that and get someone. Bowels moving? For people that have sluggish bowels, where do they start? Like, what is the. Would you say dietary recommendations with fiber, prebiotic probiotics, postbiotics, or would you go in the direction of fermented.

Fermented food? And it's no coincidence that you consume fermented food like some people? I'm sure there's people who are here today on the call. They'll Acknowledge this, that they have yogurt for breakfast, they have a great bowel movement. That's not a coincidence.

Veggies or any specific supplements to really get the gut moving again. You know, I will tell you that I've never seen in 150,000 clients, I've never seen somebody who suffers from anxiety, who didn't also have gut issues. Not once did I ever see that. And, you know, you talk about serotonin being one of the main neurotransmitters involved in gut motility. I totally agree with that. Serotonin is also the happiness hormone. And so when we're deficient in serotonin, which is meeting the definition of depression, we also have sluggish bowels. People that have depressive episodes also have gut issues. People that have anxiety also have gut issues. Right. Yeah. That's why I incorporate sauerkraut, kimchi. And so the root cause is not the mental illness, it's the gut issues. It's the gut brain access. So I wonder if you might just talk about that for a second. So for people that have SIBO or that have sluggish bowels, what are some practices they could put in place, let's say tomorrow, supplements that they could take, practices they could engage in aside from hydration, that might get their bowels moving again? Yeah, so the, you know, pickled and fermented vegetables all of the time into my diet. In fact, I rarely ever eat meat without also eating fermented veggies.

And, you know, for the fundamentals are like, if you have mild constipation issues, which is probably not this person, fermented.

Vegetables like sauerkraut or kimchi, these are, these are really inexpensive hydration, drinking more.

Water, getting some time outside with exercise in the morning. And fiber, including fiber supplements can successfully address the issue. For those people, if you have moderate or severe constipation, you're going to need more than that. And this is where magnesium comes in. Now, not all forms of magnesium are the same. Specific ones are serve specific purposes. For example, if it were sleep that we were trying to improve, magnesium, glycine would be a wonderful choice. But within the context of constipation and wanting to improve bowel regularity, I'm a big fan of magnesium oxide. You start off at around 500mg.

Take it before to get in the supermarket. They're widely available and they have or.

Bedtime and you're going to start to titrate up. But don't titrate too fast. When I say Titrate. I'm talking about bumping the dose up. And basically what I'm saying is every four or five days, if you haven't, if you're not where you want to be yet, increase the dose, go from 500 to 750, 750 to 1,000. But basically by doing this, the magnesium helps to pull water into the intestines. And at some point you're going to start to achieve that regularity using the magnesium supplement. I actually favor this as the first step for those people over the fiber supplement. To me, the fiber supplement actually comes second. So you do the magnesium first, the fiber supplement second.

Great. So Kirsten Smith or Kristen, they have the soluble and the insoluble fiber. And remember, the insoluble fiber sort of creates that bulk that moves through your intestinal tract and kind of brushes it out. But the soluble fiber becomes something called free fatty acids. And so converting. Smith says. Dr. B, what are your best suggestions for a person with no gallbladder? Gastroparesis. The MTHFR gene and can't take methylated vitamins. I take magnesium multiple times a day already.

Yeah, that's a tricky one. That's a tricky one. So with the gastroparesis, just to explain what that is for everyone else, in the event that you haven't heard of this, basically what she's saying is that the scientific stomach is not emptying at the speed that it should. It's really slow. And this causes people to retain food in their stomach. It creates nausea, sometimes it creates discomfort.

So now getting that soluble fiber into free fatty acids is excellent for your brain, it's excellent for your.

Gastroparesis can be caused by constipation. So the way that I would attack that issue is that if there is constipation within, within this specific patient, I would, I would want to take that out of the equation and then I would reevaluate where the stomach is at. So I would start by addressing the bowels. What are the strategies? We. We've discussed some of them here.

So, but immune system, it's excellent for your organ function. So these are simple things. Fermented veggies. I know a lot of you don't like the taste of sauerkraut. Maybe you don't like the taste of kimchi. These are super inexpensive to get at your. At your grand grocery store, your health food store.

And I would walk those things in. One more thing that I would add, by the way, that can be quite powerful. I mean, it's going to Sound a little bit silly, but this can be quite powerful. In the morning each day you have your routine. Part of your routine should be that you go and you sit on the toilet for five minutes. Even if you don't feel like you need to go, that five minutes on the toilet actually signals your body, teaches your body this is the time that you want to poop. And what you will find is after.

I get most of my text messaging done.

Yeah, after. After doing this for a few days, you'll discover, oh my gosh, the body actually caught up.

And you can incorporate them with other dishes. When you mix them with meats or.

Fish and is aligning with what you asked it to do, it's quite remarkable.

Yeah. I might just also add, if you have the MTHFR gene mutation, you can write this down. Most wellness clinics, functional medicine clinics, you know, even IV clinics have a cocktail called a Myers cocktail. Very inexpensive, probably the least expensive IV that most of these places run. It's a combination of B vitamins, a very specific form of B12 called hydroxycobalamin. They very often will put the entire complex of B vitamins in there. They do put a liquid version of magnesium so you can sort of skip this first pass matache or chicken. It actually, the blended taste makes it a lot more palpable. Same way I feel about organ meats. I have a hard time just eating liver. You know, Paul Saladino comes and stays with me all the time and he makes me alism that you're having issues with and go directly intravenous. I would also look up sublingual multivitamins and I would specifically look for something called an rdt, a rapid dissolve tablet, which is. These are tablets that are actually designed to skip first pass metabolism, which is your oral digestive route, and go right through the floor of the tongue and like take slices of raw liver and eat them. And I get the health benefits of that. And put methylated multivitamins directly into the bloodstream. The third and final way is through vitamin patches. Technology has come a long way in transdermal supplementation. Nad glutathione. A lot of these compounds can actually be given transdermally. So you don't actually have to trust the digestive system. Very often when people have really disrupted bowels or digestive tract or they've been on PPIs, proton pump inhibitors for long periods of time and their digestion is just off, we'll use alternative routes to get compounds into the body. So rapid dissolve tablets, also called sublinguals, transdermal patches or intravenous, but it's like literally swallowing your tailpipe. It has such a metallic taste. So are great ways for you to get that jump start so that you can actually get the nutrients in that are deficient from your MTHFR genetic mutation. So we've got about 15 minutes left. So if you've got questions for Dr. B, get them into the comments Now. I'm going to go to the next set of questions, but we've got about 15 minutes left with Dr. B. Blend those organ meats in with regular ground beef and it. And you know, they taste amazing. But I didn't mean to cut you off.

No, no, no, not at all.

So Chris says coffee enemas, do you recommend them? Is he muted? Oh, you're muted.

That's a great point. And to that point, I mean many people I'm sure would acknowledge that.

Oh, did we mute him?

No, there we go. No, no, I accidentally muted myself because I was taking a sick from my water here.

Oh, okay.

My apologies, my apologies. And then I couldn't unmute coffee enemas. So. All right. I don't have a problem with enemas in general, whether they be, whether they be water based enemas or coffee enema or other alternative choices. I don't have a problem with them when a person needs them. And there are people in my experience that do need them to jumpstart their bowels. That being said, I'm a bigger fan of coffee by mouth. Here's why so many of you may know I'm the US Medical director of a very large personalized nutrition company called Zoe. And we ran a study and we asked the question because we have a database of 200,000 people with their microbiome data. We asked the question, what is the number one thing in a person's diet when they pair wine with their food? It tastes better and it brings out that is associated with their gut microbiome and gut microbiome health. And the answer, believe it or not, was coffee.

Wow.

And the reason why is because, number one, coffee has soluble fiber and brings out aspects of it. It also helps to cut the fat so that you cut the richness. A good bit of polyphenols. Right? And those things shape the microbiome. And that's, that's because it's a fermented food. The grape juice wouldn't do that. Here's the more important part. We mentioned consistency. Look, we can define whatever. And fermentation is transformation. So you mentioned that this food you think is the healthiest food for the microbiome. But the thing is, you do it once and then you don't do it for another couple of weeks. It's just part of a larger picture, but it's not something that's radically transforming. Whereas coffee, if you're a coffee drinker, you do it every day consistently.

Yes.

And that day one small change, day two, small change, day three, small change. And you compound that by 30. And after 30 days, you have transformed your gut. And that's the power of coffee.

Wow. So PG says, what kind of magnesium? There's so many.

It can lead to short chain fatty acids, the butyrate, acetate and propionate.

But it's take one called magnesium breakthrough at night. And it has all seven forms of magnesium in it. It's by a company called Bio Optimizers. It's not my company, but I take that product every night. My magnesium levels have all normalized on an intracellular nutrition assay. But you talk about different types of magnesium. I just want to make sure so.

That through fermentation, we are creating live microbes. We are changing the fiber. We create what are called exopolysaccharides.

We're changing, actually, sure, that they can write these down specifically for gut motility. And then you talked about one for sleep. There's so many forms of magnesium. Like I say, I take them all in one supplement. But what kind of magnesium do you recommend for people for with sluggish bowels?

Yeah. So a quick comment on what you just said, which is that you pointed out that you did the peptides and the protein. We're actually making it more bioavailable. And take your magnesium at night. And I do, too.

Yeah. And I always have a bowel movement within, usually within like 15 minutes of waking. Every morning I brush my teeth and then bingo.

And the beauty of this is that the magnesium also contributes to nighttime detoxification pathways that are involved in rest and recovery. My point is that when we talk about consistency, you should separate out your supplements into two parts. Which ones are you taking in the morning, which ones are you taking in the evening? And be circadian in your supplementation. Be consistent. Separate them out. So magnesium is a nighttime supplement, in my opinion. And magnesium. Magnesium are reducing the toxic burden. So actually, fermentation in itself is actually proof side. Magnesium sulfate, magnesium citrate. Those are the pooping forms.

Okay. And for sweep, citrate, sulfate, oxide and oxide.

And then for sweep or headaches, glycinate or threonate would be Better choices, both the. The capacity for microbes to detox. Because if you take food that has, for example, a high glyphosate burden and you ferment it, you will actually drop the glyphosate.

So Linda says, what is the cause of chronic gastritis?

Oh, gosh, Linda, how much time do we have? There's like 50 different things. Yeah, there's like 50 different things. And so, I mean, like, you know, a classic in the mind of a gastroenterologist is to think about H. Pylori. But I actually think it's far more complicated than just the H. Pyloriphosate burden. That's one of the interesting things.

That's amazing. So along these lines, I mean, you.

Infect the H. Pylori, which is, by the way, a bacteria that takes up residents in the stomach. To me, that's a marker of dysbiosis, meaning that the. Actually the microbiome is out of balance. So other potential causes include things from our diet, alcohol, tobacco use, actually proton pump inhibitors can contribute to gastritis. The absence of stomach acid can contribute to gastritis. So there's a very, very long list. I will come clean in the interest of a succinct answer. It's hard for me to do that because actually, navigating gastritis on my side as a gastroenterologist is very complex. There's a lot of.

You always talk about consistency, promoting detoxification. So how does.

Questions there.

Okay, so Shankana Johnson says, what's the best way to reset your gut due to gerd? Gastroesophageal reflux disease.

Yeah, I mean, actually, I believe that your bowels. Yeah, acid reflux. I actually think that emptying your bowels is consistency.

Do that. And I know you're also a big proponent. It sounds like for different reasons, but a big proponent. Proponent of personal strategies like incorporating optimal morning sun exposure.

One of the missed parts of this process, because gastroesophageal reflux disease, acid reflux is a motility issue. It's a motility issue, and it happens when there's problems with the motility of your esophagus, with the. The esophageal sphincter, which is what?

And even in darkness, into your daily life, because you and I both believe.

Separates your esophagus from your stomach and your stomach. And so we want to restore motility. And this is the reason why, Gary, there's data where if you get rid of soda and alcohol and you replace it with water, you improve acid reflux. There's data that would say that a Mediterranean diet is as beneficial for reflux as a proton pump inhibitor is.

Wow.

There's data that 10 grams of psyllium husk per day supplement can. And the question would be like, why does fiber supplement improve acid reflux? The answer is, it's helping you to get your bowels back into a rhythm. When you have a rhythm, then the reflux improves.

Okay, so what if some of the population has SIBO and they react negatively to fermented foods? Because fermented foods are, she says, a contraindication to sibo.

Yeah. So I think you have to. You have to. If I had a person who tells.

Me, in the circadian cycle, what's really interesting is I got. I'll show you guys this.

They react negatively to fermented foods. You know, I want to get personalized. I want to understand, why would that be? What's the explanation? And the answer with it?

You know, I track all my sleep every night on whoop. And so last night, when I look at my sleep score, I got an 80. I don't know if you can see.

That I got an 87% in this setting would be. I'd worry about histamine intolerance. And so histamine intolerance, though, is a gut issue. I don't know if that's been made adequately clear to people. But basically what's happening is that histamine, that is, by the way, part of our food. There's no zero histamine diet that doesn't.

Exist every century, which is actually not. Oh, sorry, not good for me.

Everything has histamine. Some has more. Fermented foods have more. And that person, their gut barrier is broken. So histamine intolerance occurs in a person who has a damaged gut barrier, basically meaning leaky gut.

Okay?

And the solution is to repair and restore that gut barrier. So I would advocate for a low histamine diet for someone like this. I would advocate for a low histamine diet. My second book was a cookbook, and I actually was very proud of the fact that in 2022, some people thought I was crazy. There were definitely academics that were like, that's bullshit. And I released a book about histamine intolerance. And now, actually, those same people are coming back and talking about it as if, you know, this is mainstream.

I got an 87% sleep score, but when I dug into it, my Recovery was still 97%. But when I dug into why, I only got an 80% off.

So here we are.

Right. Okay. Kenneth Morgan says, how much fermented food should we eat each day if we don't have seafood, I mean, sorry, if we don't have sibo or a. A sensitivity to fermented foods.

I'll take what I can get. The average American is Most people are 7% sleep score.

It was because whoop gives me very high marks for being consistent. So I just came.

Zero servings of fermented. Fermented food per day. If there is a fermented food that people include, it tends to be. Yogurt is the number one. It's a great starting point. That's a great starting point. I support that. I want more. And there was a study out of Stanford University done by the Sonnenbergs where they actually showed and I thought this.

Was powerful that from Colorado and I go to bed at 10 o' clock like clockwork every night. So what I thought I would do when I.

In eight weeks of ramped up fermented food intake, people increased the diversity of their microbiome and they reduced measures of inflammation. So now the amount that they were consuming was a lot. And I prefer to not even go there because I feel like it puts too much pressure on people. Here's what I'm saying. Look for opportunities to add a single serve of fermented food. And by the way, a single serve is not much. Look at every meal to say like, just add it like an accoutrement like you would a pickle. Add a single serve of fermented food and you're going to do something amazing for your body.

Okay, so last question before Dr. B hops off got here was go to bed at midnight to keep that time consistent because it's 10pm in Colorado. And then whacked me for that two hours and said, hey, you're not being consistent with yourself. You know the Hapinder, the fiber supplement that you recommend, Is this for people? That is. Is this for everybody or is it for people that have sluggish bowels? Is it just a good supplement to add to a morning routine to actually begin to have healthy bowel movements, sleep schedule. But what I will tell you is of all of the things I do to what is the, what is the fiber supplement that you. That you recommend?

Well, I have been recommending fiber supplements since like roughly 2012 and have. And I can and I have continued to because I've seen the amazing results they produce. But the issue, Gary, is that I was not satisfied with the mediocrity of.

The industry in the space prove my sleep score. The one that works the most is by going to bed at the same time every single night. And so in Colorado I'm getting 98, 99, 100% sleep scores. Then I came here, slept the same amount of time, got the same amount of deep in rem. But because my timing was off, you know, it dropped that score. So you know, part of.

And so in 2021, I decided to launch a company privately. No one knew that I was doing this except for a few people. And finally in 2024, we came forward with our first product which is called Daily Microbiome Nutrition. The company by the way, is called 38 Terra. 38 Terra T E R A which stands for 38 trillion.

That's this evolution of understanding how we get toxins out of the body is actually putting the body in a place where it actually wants to eliminate toxins, meaning where it actually has the time and resources to commit to eliminating a toxic burden. You will not eliminate waste.

Repair the number of bacteria you have inside of you.

So also the national debt, so kind of interesting.

Well, that's a disturbing thing as well.

Yeah.

When, when the national debt has met, the number of is matching the number of microbes we have. We got a real problem. Yeah, we got a real problem. Anyway, nonetheless, the.

Detoxify or regenerate if you are nutrient deficient, if you are dehydrated, if your waste elimination pathways are not open, you're not getting consistent sleep and you're not moving. There's no mechanism for us to get around any of those things. So I'd love it if you talk about your personal strategies or tips for incorporating optimal sunlight. What your morning routine.

This DMN Daily Microbiome Nutrition, it combines seven prebiotic ingredients. It includes fiber resistant starch, polyphenols, includes them in amounts that have been proven by human clinical trials. It also happens to be a low FODMAP product. So I did design it in a way where people, people that have got issues and they're sensitive, looks like. Yeah, definitely. So we're, we're obviously talking about circadian rhythm. And the body is designed with its own natural rhythm. Every single one of the organs. This was built for you and it's certified. It's also certified glyphosate free. And I think Gary, you'll love this part. Every single batch is extensively third party tested for 130 different things, including all of the pesticides, including the heavy metals that you just mentioned, the liver, the Kidneys, the lungs has its metals including. I'm adding plastics now. I went to the lab and I said, what plastics tests can I own clock. Its own internal clock. And our job is to teach the body. I do. And now I'm adding that to the testing too, because basically I want transparency to stay aligned and synchronized. And the way that we do this is with consistency, and this is a completely free idea that like, literally.

That's great, man. So for people that want to find out more about your work or your books, I know you're putting out incredible content. Where can. Where can my audience find you?

Come to thegut healthmd.com you'll find everything there. Sign up for my email list. It's a completely free resource. And if you. If you changed nothing in your life other than did everything at the same time every single day, you would be way more healthy.

Yeah, I agree with that.

You just unsubscribe and 38 Terra is the supplement company. In the event that you do want to check that out?

All right, beautiful. Hey, guys, my team is going to drop Dr. B's Instagram, his website, all of his social handles in the chat right now. You should be following this man. He's one of the good ones who's actually teaching people how to heal.

Not so in terms of my routines in the morning, I like to wake up and I get my morning sunlight. And part of this is that that morning sunlight, it actually. It actually allows my body to anchor the morning circadian rhythm. It activates my gut, it turns on my brain, it floods my.

Just how to manage their symptoms. So, Dr. Bill B, thank you so much for being here and for the work you're doing in the world. You know, you're making a real difference. I appreciate you giving my audience a time time today.

Thank you, Gary.

All right, awesome. Lots that I want to try to cram in before we head over to the vip. I want to take a moment here.

Body with serotonin. Serotonin is the happy hormone, but serotonin is also key for motility. So if you want to have that good morning bowel movement, you need the serotonin to help to get your motility into a rhythm. So I like to get my morning sunlight hydrate.

And tell you something I'm so proud of. First of all, I'm proud that you guys showed up to cup of coffee.

And I like to do a walk outside.

And that day, I'm proud you're taking control of your health instead of just accepting that this is just how you're supposed to feel, you know, what sets you apart is that most people will complain about their symptoms, but they'll never do anything about them. So you're here, you're learning, sort of.

Light exercise contributes to all these things. So, like to me it's like multitasking. Like, I'll usually wake up, hydrate, take my morning supplements and then I go outside for a walk, usually with you're.

Trying to make changes and that takes courage. So I appreciate every one of you guys giving me your.

One of my kids in a stroller. And I'll wear a ruck vest. I'll have my cup of coffee, no glasses, getting my sunlight exposure.

And I try to time today what we've covered in this first hour. This is just the beginning. Dr. B gave you some foundational things, but I want to go deeper with you. You, I want to show you exactly how stress and unprocessed emotions literally are clogging our detox bathroom.

They spend about 20 or 30 minutes outside doing that.

That's awesome. All right, I'm going to move over to some YouTube ways. I want to answer your specific questions about your health journey. We still have two more hours together if you're on questions. So the team's been consolidating these. Kenny R. Says on the free challenge tomorrow and the next day, I'm going to be a lot more concise and get more specific about the specific types of testing and then the specific types of supplements, not my supplement. What if you no longer have a gallbladder?

Yeah. So if, you know, if you no longer have a gallbladder, your, the detoxification pathway is the same so that you.

Can get widely available for very little money. Specifically, we're going to.

I want to comment on this. Your liver will still produce bile.

The difference talk tomorrow about timing. Not only just timing our hydration, but timing our supplements is that the gallbladder.

Is basically like, think of it like the old fashioned deer skin.

We're going to also talk about what, what fluids to drink and when and what we can add to those fluids so they can really actually serve our detox pathways. So for those of you that are not joining us in the vip, thank you so much for joining us today. What an incredible start to the canteen.

Like, it's like a sack and it holds the bile and it squeezes after a meal, especially if you eat a lot of fat. If you don't have a gallbladder, you're.

Just going to basically detox challenge. This is just day one. I've got a lot packed into the next two days. So this brings us to the end of today's first session. If you joined us through the email link and you're not, trickle that bile.

Down into your intestines. For some people that will actually.

You had a vip. We're grateful you showed up and we're happy and we hope that you feel you've got a ton of value. At this point, we're going to transition over to the vip, the only portion where I'm going to take it cause.

Diarrhea, so be aware of that. But the. The concepts that we're discussing here remain the same, which is that it's still bile coming from your liver that you need to ultimately excrete through a bowel movement.

Okay. Yeah. Robert asked the same question. I have no gallbladder anymore. Deep dive. Go into a 90 minute Q A about protocols. If you're not a VIP yet, now's the perfect time to join us. You can cancel anytime. Maybe you'll be a winner of one of the $500 detox packages. So you can just go to theultimatehuman.com VIP to get full access. So, VIP, hang tight and future VIPs. I'll see you in there. It was taken out two years ago. What happens to my toxins? And I think you just explained that the bile, which is bile, is not made by the gallbladder. It's stored in the gallbladder. So it's discharged by the liver into the gallbladder and then it pauses there and it's secreted in response to fat passing by the gallbladder in an area called the duoplum. But, guys, for the rest of you, I'm excited about seeing you tomorrow and Wednesday on the detox challenge. Don't forget, we're going to have Dr. Josh Axe and Dr. Jessica Petross coming on tomorrow. I may even extend the session a little bit to make sure that you get everything out of this guide. Guys, this guide, I wrote this and intentionally poured myself in them. And so this is still going to leak into your gut. So Amy Allen says bloating, it's the only symptom I have with SIBO. Nothing else has helped. And I've been bloated 24 hours a day, and I only weigh 106 pounds. What can be done to get rid of it? It's the only symptom she into this guy. This is everything that you really need. Treat it like a manual, not like a magazine. There are workbooks in here. There There are things that you can use to actually track your progress. If you are intentional about absorbing the information from this guide, you will be detoxifying from mold. Says the only symptom I have with sibo, which is small intestinal bacterial overgrowth. Guys, this is a big one. I would love to hear your. Your thoughts on old metals, mycotoxins, parasites, and viruses. This was really designed to be the guide that I wish was around when Sage and I had my clinic and we were treating hundreds of thousands of patients, and we just couldn't figure out what's wrong. So please on Sibo. And she says nothing's helped. She's bloated 24 hours a day, and she only weighs 106 pounds.

Yeah. So I think where I would start is that with these types of things, I start by separating.

He's read ahead for tomorrow so that you're prepared and treat this guy.

Someone who's more on the scale of diarrhea or more on the scale of constipation. Now, there are people who are constipated, and they poop every single day.

I'd like a workbook and not just a magazine that you're going to peruse. So for the VIPs, I'll see you in just a minute. For the rest of you guys, I'll see you all tomorrow on the day.

But they're not completely evacuating. And if you're not completely evacuating, then you are backing up. And when you back up, the number one symptom by far is bloating. 100% of people with constipation have bloating. And the way in which I, as a gastroenterologist, know that I have appropriately and adequately treated them is the bloating goes away. So with this, what I would pay attention. Pay attention to for her is, does the bloating improve after a bowel movement? That's one of the questions that I would ask you. If it does, then we have proof of concept that actually by defecating, by having a good, healthy, epic bowel movement, you are actually improving this particular symptom. It might come back a couple hours later. This is your body telling you need to poop more.

Okay, so how do you get it if you have sibo? I mean, how do you address that and get someone. Bowels moving? For people that have sluggish bowels, where do they start? Like, what is the. Would you say dietary recommendations with fiber, prebiotic, probiotics, postbiotics, or would you go in the direction of fermented? Veggies or any specific supplements to really get the gut moving again? I will tell you that I've never seen, in 150,000 clients, I've never seen somebody who suffers from anxiety, who didn't also have gut issues. Not once did I ever see that. And, you know, you talk about serotonin being one of the main neurotransmitters involved in gut motility. I totally agree with that. Serotonin is also the happiness hormone. And so when we're deficient in serotonin, which is meeting the definition of depression, we also have sluggish bowels. People that have depressive episodes also have gut issues. People that have anxiety also also have gut issues. And so the root cause is not the mental illness, it's the gut issues. It's the gut brain access. So I wonder if you might just talk about that for a second. So for people that have SIBO or that have sluggish bowels, what are some practices they could put in place, let's say tomorrow, supplements that they could take, practices they could engage in, aside from hydration, that might get their bowels moving again?

Yeah, so the fundamentals are like, if you have mild constipation issues, which is probably not this person, hydration, drinking more water, getting some time outside with exercise in the morning, and fiber, including fiber supplements, can successfully address the issue for those people. If you have moderate or severe constipation, you're going to need more than that. And this is where magnesium comes in. Now, not all forms of magnesium are the same. Specific ones are served specific purposes. For example, if it were sleep that we were trying to improve magnesium glycine, it would be a wonderful choice. But within the context of constipation and wanting to improve bowel regularity, I'm a big fan of magnesium oxide. You start off at around 500mg. Take it before bedtime, and you're going to start to titrate up. But don't titrate too fast. When I say titrate, I'm talking about bumping the dose up. And basically what I'm saying is every four or five days, if you haven't, if you're not where you want to be yet, increase the dose, go from 550, 750 to 1,000. But basically by doing this, the magnesium helps to pull water into the intestines. And at some point you're going to start to achieve that regularity using the magnesium supplement. I actually favor this as the first step for those people over the fiber supplement, to me, the fiber supplement actually comes second. So you do the magnesium first, the fiber supplement second.

Great. So Kirsten Smith or Kristen Smith says Dr. B. What are your best suggestions for a person with no gallbladder? Gastroparesis, the MTHFR gene and can't take methylated vitamins. I take magnesium multiple times a day already.

Yeah, that's a tricky one. That's a tricky one. So it with the gastroparesis, just to explain what that is for everyone else, in the event that you haven't heard of this, basically what she's saying is that the stomach is not emptying at the speed that it should. It's really slow. And this causes people to retain food in their stomach. It creates nausea, sometimes it creates discomfort. So now gastroparesis can be caused by constipation. So the way that I would attack that issue is that if there is constipation within. Within this specific patient, I would want to take that out of the equation and then I would reevaluate where the stomach is at. So I would start by addressing the bowels. What are the strategies? We've discussed some of them here, and I would walk those things in. One more thing that I would add, by the way, that can be quite powerful. I mean, it's.